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Palmetto Vein & Surgery Center

Palmetto Vein & Surgery Center

Cardiac Testing

Nuclear Stress Test

A nuclear stress test is a way to measure blood flow to the muscle of your heart. Two sets of pictures are taken to view your heart. The first set is taken, while you are resting. The second set is following exercise, either on a treadmill or with medication.

Why did my Provider order a Nuclear Stress Test?

You may have had symptoms such as shortness of breath, chest tightness or changes on an EKG. These symptoms may be due to coronary artery disease. The coronary blood vessels supply blood and oxygen to your heart. A nuclear stress test can help determine if your heart is getting an adequate blood supply.

The test provides information concerning the size of your heart as well as the ejection fraction. The ejection fraction measures how well your heart is pumping.

It can also be used to manage continued treatment of known heart disease, by tracking muscle damage from a previous heart attack.


An echocardiogram is an ultrasound of the heart. It is used to evaluate heart size, chamber size, wall thickness,valve function and overall heart function.

A small amount of gel is applied to your chest over the area to be studied. A hand-held transducer uses sound waves to produce a picture of your heart. Measurements and calculations are taken to evaluate the size and function of your heart.

Why did my Provider order an echocardiogram?

Your provider may suspect problems with the valves or chambers of your heart, or if heart problems could be the cause of symptoms, such as shortness of breath or chest pain.

Carotid Artery Ultrasound

A Carotid Artery Ultrasound is performed to evaluate the main arteries in the neck that take blood to the brain.

A small amount of gel is applied to the skin over the area to be studied. A hand-held transducer is used to take pictures that show the walls of the arteries, blood flow and any plaque in the arteries.The velocity of the blood flow is measured, to pinpoint the level and severity of possible disease.

Why did my Provider order a carotid artery ultrasound?

Early diagnosis and treatment of a narrowed carotid artery can decrease stroke risk. A carotid ultrasound is performed to test for narrowed carotid arteries, which are usually narrowed by a buildup of plaque — made up of fat, cholesterol, calcium and other substances that circulate in the bloodstream.

Ankle- Brachial Index (ABI)

The ankle-brachial index test is a quick, noninvasive way to check your risk of peripheral artery disease (PAD). Peripheral artery disease is a condition in which the arteries in your legs or arms are narrowed or blocked. People with peripheral artery disease are at an increased risk of heart attack, stroke, poor circulation and leg pain.

Why did my Provider order an ankle- brachial index (ABI)?

If you have symptoms of PAD, your doctor may suggest you have an exercise ankle-brachial index test to determine if your symptoms, such as leg pain with walking, are due to PAD or other conditions, such as spinal stenosis.

Ask your doctor if you should have this test if you are age 50 or older and have any of these risk factors for PAD:

Being a current or former smoker

· Diabetes

· High blood pressure

· High cholesterol

Venous Insufficiency/Reflux Exam

Venous insufficiency is a problem with the flow of blood from the veins in the legs back to the heart. It’s also called chronic venous insufficiency or chronic venous stasis.

Veins have valves that keep the blood moving in one direction-toward the heart. In venous insufficiency, the valves in the veins of the leg don’t work right, causing fluid to pool in the legs. This can lead to problems that include varicose veins.

Your doctor can diagnose venous insufficiency by examining your legs and by using a type of ultrasound test (duplex Doppler) to find out how well blood is flowing in your legs.

Why did my provider order a venous insufficiency/reflux exam?

Your provider may suspect venous insufficiency/reflux problems in patients presenting with symptoms such as varicose veins, skin discoloration, swelling, restless leg syndrome, cramping and pain or aching of the lower extremities.

Advanced Cardiac Lipid Testing

Cardiovascular disease is complex and our advanced cardiac lipid testing can aid in the prevention of cardiovascular events, and assist in the treatment of cardiovascular disease. Cardiac lipid testing contains several categories of lab tests that include: Cholesterol, Inflammation, Metaoblics, and Genetics. Our cholesterol tests assess your risk of having a heart attack or stroke caused by a blockage of blood vessels or hardening of the arteries. Inflammation causes the artery walls to weaken which leads to scarring of the artery wall. This thinning and scarring of the artery makes it easier for cholesterol to attach and form blockages. Inflammation can also increase the risk of plaque breaking off of the artery wall which in turn causes a clot that can lead to heart attack or stroke. Metabolic testing can show your risk of developing diabetes, or, if you currently have diabetes it will show how your body is responding to treatment. Genetic testing helps your healthcare provider asses any genetic risks to heart disease; these tests also show how your body will respond to certain types of treatment including medication.

Why did my provider order Advanced Cardiac Lipid Testing?

There are
several factors that can increase your risk for a cardiovascular event, these risk factors are including but not limited to:

· Tobacco use

· High LDL, or “bad” cholesterol, and low HDL, or “good” cholesterol

· Uncontrolled Hypertension (High Blood Pressure)

· Uncontrolled Diabetes

· Obesity

If you have any of the aforementioned conditions your provider may schedule you to have Advanced Cardiac Lipid Testing This testing is done through the blood. We ask you come to your appointment after fasting (nothing to eat and only water to drink) for at least 8 hours. A phlebotomist will take several tubes of blood, which will then be tested. After all testing is complete, a report is compiled showing your risk of a cardiovascular event. Your provider will then schedule a follow up appointment to go over the results of your test and discuss treatment for any treatment neccesary.

Palmetto Vein & Surgery Center, LLC
One Wellness Boulevard
Suite 103
Irmo, South Carolina 29063
Phone: 803.407.VEIN (8346)
Fax: 803.732.2624

Office Hours: Monday – Thursday: 8:30 am – 5:00 pm
Friday: 8:30 am – 2:00 pm